BARTONVILLE VILLAGE PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****41

License Status

NOT RENEWED

Business

Business Name

BARTONVILLE VILLAGE PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1986000711

Action

Summary Suspension

Discipline Start Date

03/10/1987

Discipline End Date

12/12/1990